DEPARTMENT OF INSURANCE

Affiliations

Name	Chancellor, Timothy Joseph	DOIID	892293	NAIC NPN	17719943

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Life	9/19/2017	10/31/2026
Active	Resident	Agent	Health	9/22/2015	10/31/2026
Denied	Resident	Agent	Variable Life and Variable Annuities
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	08/15/2024	10/31/2024	05/06/2024	05/06/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE Property and Casualty Insurance Company	300520	Agent - Health	3/19/2024
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	1/18/2018
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	8/10/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/28/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	1/18/2018
Active	Aetna Life Insurance Company	301140	Agent - Life	1/18/2018
Inactive	American Retirement Life Insurance Company	706303	Agent - Health	11/13/2017	12/21/2018
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/15/2015
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2021
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	10/13/2017
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	10/9/2015	3/31/2019
Active	CHA HMO, Inc.	300662	Agent - Health	10/31/2023
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	5/31/2017	12/22/2020
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022
Active	CareSource Kentucky Co.	838179	Agent - Health	10/10/2019
Active	Chesapeake Life Insurance Company (The)	301017	Agent - Health	6/26/2021
Active	Chesapeake Life Insurance Company (The)	301017	Agent - Life	6/26/2021
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/13/2015	12/13/2016
Active	CompBenefits Insurance Company	301864	Agent - Health	11/6/2019
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/16/2021
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018	12/15/2020
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	5/14/2022
Active	Dental Concern Inc. (The)	301641	Agent - Health	4/13/2021
Active	First Health Life & Health Insurance Company	301735	Agent - Health	1/18/2018
Inactive	Gateway Health Plan of Ohio, Inc.	833424	Agent - Health	10/17/2016	1/1/2019
Active	Golden Rule Insurance Company	301943	Agent - Health	9/21/2017
Active	Golden Rule Insurance Company	301943	Agent - Life	9/21/2017
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	10/19/2017	8/17/2020
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	10/19/2017	8/17/2020
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/5/2015
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	4/12/2019
Active	Humana Health Plan, Inc.	300142	Agent - Health	2/3/2020
Active	Humana Insurance Company	301104	Agent - Health	10/16/2015
Active	Humana Insurance Company of Kentucky	300826	Agent - Health	11/9/2015
Active	Humana Medical Plan, Inc.	801568	Agent - Health	11/9/2015
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016
Active	Lafayette Life Insurance Company (The)	301039	Agent - Health	6/27/2018
Active	Lafayette Life Insurance Company (The)	301039	Agent - Life	6/27/2018
Active	Life Insurance Company of the Southwest	301867	Agent - Health	6/14/2018
Active	Life Insurance Company of the Southwest	301867	Agent - Life	6/14/2018
Inactive	Medico Corp Life Insurance Company	301777	Agent - Health	10/22/2016	4/16/2018
Inactive	Medico Life and Health Insurance Company	907406	Agent - Health	11/21/2017	12/26/2018
Inactive	Medico Life and Health Insurance Company	907406	Agent - Life	11/21/2017	12/26/2018
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	8/24/2018	7/29/2023
Active	Pekin Life Insurance Company	300951	Agent - Health	3/20/2020
Active	Pekin Life Insurance Company	300951	Agent - Life	3/20/2020
Active	Principal National Life Insurance Company	301926	Agent - Life	4/11/2021
Inactive	Protective Life Insurance Company	300638	Agent - Health	4/8/2021	11/23/2023
Inactive	Protective Life Insurance Company	300638	Agent - Life	4/8/2021	11/23/2023
Active	SilverScript Insurance Company	663526	Agent - Health	11/12/2015
Active	Transamerica Life Insurance Company	300571	Agent - Health	4/1/2021
Active	Transamerica Life Insurance Company	300571	Agent - Life	4/1/2021
Inactive	United American Insurance Company	300910	Agent - Health	3/4/2021	12/20/2022
Inactive	United American Insurance Company	300910	Agent - Life	3/4/2021	12/20/2022
Inactive	United Home Life Insurance Company	300421	Agent - Life	10/12/2017	7/14/2020
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	10/6/2015
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/13/2016	12/21/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/6/2019	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	12/23/2021
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/6/2015	12/5/2016
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/6/2015
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	12/17/2019
Active	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	7/12/2021
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	12/13/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Designated Agent Company Inc.	681257	Agent - Health	10/15/2015
Inactive	Medlink Inc	400721	Agent - Health	11/4/2015	3/31/2024
Active	Planchoice Inc.	400482	Agent - Health	12/1/2015